| NPI | 1497269260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60722246) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 174H00000X Health Educator | |
| 224Y00000X Clinical Exercise Physiologist | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |